Goitre prevalence (%) Grade 1. Grade 2. TGP < >300 <100 Median Mean

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1 Last Updated: TGP < >300 <00 Median Mean N 00 National: Pre-SAC: Total B National: Women: Total F NS National: PW: Total F NS Pre-SAC by area: Urban B NS 49.0 Pre-SAC by area: Medium B NS 5.0 Pre-SAC by area: Rural B NS 4.0 Pre-SAC by agroecological zone: Dry Savanna B NS 4.6 Pre-SAC by agroecological zone: Humid Forest B NS 8. Pre-SAC by agroecological zone: Moist Savanna B NS 5.3 Pre-SAC by state: Nasarawa B Pre-SAC by state: Taraba B Pre-SAC by state: Borno B Pre-SAC by state: Kaduna B Pre-SAC by state: Kebbi B Pre-SAC by state: Kano B Pre-SAC by state: Osun B Pre-SAC by state: Edo B Pre-SAC by state: Kwara B Pre-SAC by state: Imo B Pre-SAC by state: Bayelsa B Pre-SAC by state: Akwa Ibon B Women by area: Urban F NS NS 4.4 Women by area: Medium F NS NS 5.9 Women by area: Rural F NS NS 4.6 Women by state: Nasarawa F NS Women by state: Taraba F NS Women by state: Borno F NS Women by state: Kaduna F NS Women by state: Kebbi F NS Women by state: Kano F NS Women by state: Osun F NS Women by state: Edo F NS Women by state: Kwara F NS Women by state: Imo F NS Women by state: Bayelsa F NS Women by state: Akwa Ibon F NS PW by area: Urban F NS NS 4.0 PW by area: Medium F NS NS 45.0

2 Last Updated: TGP < >300 <00 Median Mean N 00 PW by area: Rural F NS NS PW by agroecological zone: Dry Savanna F NS NS.3 PW by agroecological zone: Humid Forest F NS NS 5.8 PW by agroecological zone: Moist Savanna F NS NS.4 PW by state: Nasarawa F NS PW by state: Taraba F NS PW by state: Borno F NS PW by state: Kaduna F NS PW by state: Kebbi F NS PW by state: Kano F NS PW by state: Osun F NS PW by state: Edo F NS PW by state: Kwara F NS PW by state: Imo F NS PW by state: Bayelsa F NS PW by state: Akwa Ibon F NS S states: SAC: Total B SAC by state: Benue: Okpokwu LGA B SAC by state: Cross River: Ohudu/ Obanlilu LGA B SAC by state: Edo: Akoko-Edo LGA B SAC by state: Ekiti: Ekiti East LGA B SAC by state: Enugu: Uzo-Uwani LGA B SAC by state: Kano: Gwarzo LGA B SAC by state: Katsina: Bakori LGA B SAC by state: Oyo: Saki (Ifedapo) LGA B SAC by state: Plateua: Bassa LGA B SAC by state: Zamfara: Anka LGA B SAC by state: Benue: Okpokwu LGA B NS 9.4 SAC by state: Cross River: Ohudu/ Obanlilu LGA B NS 4.9 SAC by state: Edo: Akoko-Edo LGA B NS 30.4 SAC by state: Ekiti: Ekiti East LGA B NS 33.3 SAC by state: Enugu: Uzo-Uwani LGA B NS 9.8 SAC by state: Kano: Gwarzo LGA B NS 4. SAC by state: Katsina: Bakori LGA B NS.9 SAC by state: Oyo: Saki (Ifedapo) LGA B NS 6. SAC by state: Plateua: Bassa LGA B NS 4.7 SAC by state: Zamfara: Anka LGA B NS.9

3 Last Updated: TGP < >300 <00 Median Mean L 995 Igara: SAC B Uzo-Uwani: SAC B Igara: SAC B Uzo-Uwani: SAC B N 993 National: Pre-SAC: Total B National: Women: Total F NS Pre-SAC by area: Urban B Pre-SAC by area: Peri-urban B Pre-SAC by area: Rural B Pre-SAC by health zone: South East B Pre-SAc by health zone: South West B Pre-SAC by health zone: North West B Pre-SAC by health zone: North East B Women by physiological status: PW F NS 83.9 Women by physiological status: NPW F NS Women by physiological status: Unsure F NS Women by physiological status: No response F NS 75.7 Women by area: Urban F NS 34. Women by area: Peri-urban F NS 76.4 Women by area: Rural F NS Women by health zone: South East F NS Women by health zone: South West F NS Women by health zone: North West F NS Women by health zone: North East F NS S Plateau state: SAC/Adults: Total B SAC/Adults by local government councils: Akwan B SAC/Adults by local government councils: Awe B SAC/Adults by local government councils: Barkinl B SAC/Adults by local government councils: Bassa B SAC/Adults by local government councils: Jos B SAC/Adults by local government councils: Kanam B SAC/Adults by local government councils: Kefi B SAC/Adults by local government councils: Lafia B SAC/Adults by local government councils: Lantan B SAC/Adults by local government councils: Mangu B

4 Last Updated: TGP < >300 <00 Median Mean S SAC/Adults by local government councils: Nassar B SAC/Adults by local government councils: Shenda B SAC/Adults by local government councils: Wase B Plateau state: SAC/Adults: Total B SAC/Adults by local government councils: Akwang B SAC/Adults by local government councils: Awe B SAC/Adults by local government councils: Barkinl B SAC/Adults by local government councils: Bassa B SAC/Adults by local government councils: Jos B SAC/Adults by local government councils: Kanam B SAC/Adults by local government councils: Keffi B SAC/Adults by local government councils: Lafia B SAC/Adults by local government councils: Lantan B SAC/Adults by local government councils: Mangu B SAC/Adults by local government councils: Nassar B SAC/Adults by local government councils: Panksh B SAC/Adults by local government councils: Shenda B SAC/Adults by local government councils: Wase B

5 NOTES no 458 : comprised of 6480 households within states randomly selected, representing a third of the states; a subsample of pregnant women included; women are mothers of the children. note Pre-SAC total calculated from disaggregated data by state. note Women total calculated from disaggregated data by state. note 3 PW total calculated from disaggregated data by state. no 3604 : Multi-stage cluster sampling; states and local government areas selected because of their known IDD status or where IDD was not previously a known public health problem; total sample for goitre determination 37; urinary iodine measured for subsample (every fifth child). note 4 UI median range: 0-00 µg/l note 5 Endemic area: UI median range: 0-98 µg/l note 6 Endemic area. UI median range: µg/l note 7 Endemic area. UI median range: 0-94 µg/l note 8 Endemic area. UI median range: µg/l note 9 Endemic area. UI median range: µg/l note 0 No known IDD. UI median range: µg/l note No known IDD. UI median range: 5-68 µg/l note Endemic area. UI median range: 6-00 µg/l note 3 No known IDD. UI median range: µg/l note 4 No known IDD. UI median range: µg/l no 360 : comprised SAC selected from or 3 primary schools in Igara, Edo state and Uzo-Uwani, Enuga state; both endemic areas. no 50 : Population based survey in the four health zones of the country; only prevalence of visible goitre (grade ) reported. note 5 Weighted prevalence.6%. no 337 : comprised SAC/Adults selected from 4 local government councils in Plateau state; same survey reported in references No. 33 and 547.

6 R E F E R E N C E S Federal Ministry of Health and Social Services, United States ncy for International Development, Vitamin A Field Support Project, Opportunities for Micronutrient Interventions. Nigeria National Micronutrient Survey, 993. Nigeria, Federal Ministry of Health and Social Services, 996. Das SC, Isichei UP, Egbuta JO, Banwo AI. Cations and anions in drinking water as putative contributory factors to endemic goiter in Plateau State, Nigeria. Tropical and Geographical Medicine, 989, 4 : WHO, UNICEF, ICCIDD. Review of findings from 7-country study in Africa on levels of salt iodization in relation to iodine deficiency disorders, including iodine induced hyperthyroidism. Geneva, World Health Organization, 997 Egbuta J, Onyezili F, Vanormelingen K. Impact evaluation of efforts to eliminate iodine deficiency disorders in Nigeria. Public Health Nutrition, 003, 6 : International Institute of Tropical Agriculture (IITA), USAID, UNICEF, UA. Nigeria Food Consumption and Nutrition Survey [summary]. Nigeria, International Institute of Tropical Agriculture, 004.

7 ADDITIONAL REFERENCES Federal Government of Nigeria, UNICEF. The nutritional status of women and children in Nigeria. Lagos, 994. Isichei UP, Das SC, Egbuta J, Banwo AI, Morimoto I, Nagataki S. Endemic goiter studies in Plateau State, Nigeria. IDD Newsletter, 989, 5 :5. Mannar VMG, Egbuta JO. Elimination of IDD In Nigeria: an action Plan for United Nations Children's Fund Lagos, 993. Ekpechi OLV, Modebe OM, Agharanya J. Emergency Relief Programme of Iodised Oil Injection in a Severely affected area in Nigeria (Uzo-Uwani) National Population Commision, ORC Marco, U.S. ncy for International Development. Nigeria Demographic and Health Survey, 003. Calverton, MD, ORC Macro, 004. Umenwanne EO, Akinyele IO. Inadequate salt iodization and poor knowledge, attitudes, and practices regarding iodine-deficiency disorders in an area of endemic goitre in south-eastern Nigeria. Food and Nutrition Bulletin, 000, :3-35. Das S, Isichei UP, Mohammed AZ, Otokwula AA, Emokpae A. Impact of iodine deficiency on thyroid function in pregnant African women - A possible factor in the genesis of 'small for dates' babies. Indian Journal of Clinical Biochemistry, 005, 0 :35-4. Das SC, Isichei UP, Obekpa PO. Iodine deficiency disorders in pre-adolescent and adolescent children in Nigeria, West Africa. West African Journal of Medicine, 998, 7 :3-0. Ajayi OA, Akinyele IO, Oguntona EB, Akinosu OM, Sanusi RA. Assessment of total goiter prevalence and urinary iodine in Nigeria. Abuja, Nigeria, Survival and Early Child Care, UNICEF Country Office, 006.